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GG MOA 110 Chap 9; Questions & Answers

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GG MOA 110 Chap 9; Questions & Answers medical record Correct Answer-is a hand written or type-written recording of information that documents facts and events during the administration of patient care the principle reasons for maintaining medical records are.. Correct Answer-1. to aid in the ...

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  • September 4, 2024
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  • Questions & answers
  • GG MOA
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GG MOA 110 Chap 9; Questions & Answers
medical record Correct Answer-is a hand written or type-written recording of information

that documents facts and events during the administration of patient care




the principle reasons for maintaining medical records are.. Correct Answer-1. to aid in the

diagnosis and treatment of a patient


2. to provide written documentation of directed patient care


3. to endure continuity od care


4. to verify that services were medically necessary


5. to assist in the research of disease and injuries so other patients may benefit from previous

care


6. to substantiate procedure and diagnostic code selections for appropriate reimbursement


7. to comply with federal and state laws


8. to defend the physician in the event of a lawsuit




to digitize medical records is to... Correct Answer-convert paper documents into electronic

images using a scanner

, GG MOA 110 Chap 9; Questions & Answers
three basic types of medical record organization systems used by most physicians offices are...

Correct Answer-problem oriented medical record


source oriented record


integrated record




problem oriented medical record Correct Answer-contains data of the patients permanent

and temporary problems. other lists can include medication, blood pressure, lab results, and

surgeries




source oriented record Correct Answer-common paper based medical record management

system that arranges documents according to sections




integrated record Correct Answer-files all documents in chronological order with out

regard to source




four basic ways information can be entered into the medical record Correct Answer-1.

physician hand-enters data (hand written)


2. physician dictates

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